HomeMy WebLinkAboutHomestead_Kaposta • MATE FORM 5'tt"El fwd TREASURER EOM(—IA
APPROVED BY MATE BOARD III A(RRl\T'.3••• PREYRIBW BY Tyr DEPARTMENT!SF L•AL rovtt'YMrte FINANCE MSI.I-`:-tI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taspaxers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only Fe accessed by authorized county officials.The Depannlent of
Local Government Finance will Erse this information to create sisals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Kaposta, John P/Lisa R
It?
Oakland City IN 47660
8524
John P Kaposta
6066 Indian Dr State Parcel Number Legal Description
NEWBURGH IN 47630-8869
26-20-05-400-001.906-001 SASSAFRAS LANE
l.lu lltuli Ilu ell tll ntlnitiulullu lt'n IIn IIIn liii ll
X-
. - -
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
D -HN 7 KA-Hc' S7A-
Ig Address(number and street,city.state,and ZIP code) ,g Same as property address - - - -— - -
/ -/S- E SODS -1 l A-4Vc/sr,n �A✓ '* Liq
Spouse First Middle Last
2-- / 5 Ve /. A-.P0574-
Mail ing Address(Number and street.city,state,and ZIP code) (Same as property address
7/ c E s00s Pnt4iVc/sc.o -7-N it7Q. y9
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PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature 9 I� 'd.�/�
•
CLAIM FO HOMESTE ROPERTY TAX
CREDITIST i ION
State Form 5473 (R614 -03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM 1� YEAR _
®gHC�,10 11l ^ryy "�1
5i= -'�:.. �-t -.:. i; ter. 4.!�.'S:•" :%J.G'_ - =. '3 ..€y a: .`.�I:CKI AIIDN A- IATEM//NT�'. �ar�cg Jr.-! II�1�- r��— (n�- ��- ,.t`,yu^�`5�.�ii"" _
I (We) vt� cerjAMaI%nYhAsi7day of March, 20
1 (We) occupi s our principal place Id nce the following describe real property for which a Homestead Property TaxCredit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns th O�r�{�¢ grys AWJ1ii N%er a contract.
GIBS
:,,Ihii'A-,CONTRACT .!RECORDED- r'f's`e'..h�,�
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
'' y� - s''•.. .j$ `PROPERTY.OWNEIIBY CLAIMANTIN. OTHER `COUNTIES' ;� rx__'t
County Tavnship
County
Township
Taxing district (city, to w ' )
i r of cl mant
' P,2rpeI nurtpe
Legal descd
'on
Is the prope " q scion:
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(ILh/lJl I O
I property
❑ Mobile Home (I.C. 6.1.1 -7)
If any portion of the residential structure or the land not exceeding one (1 cre that immediate) surrounds that suucmre is used to produce income. describe the use and Portion
of the property utilized to produce income.
-.
alp- a0 -o 5 - 400 - coo �. 90 lc
- oa 1
'' y� - s''•.. .j$ `PROPERTY.OWNEIIBY CLAIMANTIN. OTHER `COUNTIES' ;� rx__'t
County Tavnship
County
Township
I hereby certify the above statements are true, correct and complete.
i r of cl mant
/
'dress nu r pnd soeet, city, stale, ZIP code)
s� t.4 co 7
ASSESSOR -USE ONLY
s,L
ASSESSEDVALUE
..-
OMESTEAD'
NON,�2ESIDENTIAL <.h
�. r
AT_100%OFTTV.VALUE
I�VALUE 5
�n
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
: r
Other land;,°
(2)
-.
.� tj
Total land (line 1 plus line 2)
(3)
Dwellin9
(4)
d m i-�-�- r : "v'-
e,F�wr . -i��,,,
�,E
'Residential improvements or Annually'
a
Assessed Mobile / Manufactured Home
Garage
5
�v 4`r -•'S
Other improvements
'sue}
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Ve itying action - Signature of Auditor
Date signed
Z TANDARD'.DEDUCTION'ALLOWANCE * t`
20_Pay 20_
Lesser of 112 Homestead
]:$
vatuabon or E35.000
Sign re
Dale si — ^
1`1 1 IL